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InitialsDiceBearhttps://github.com/dicebear/dicebearhttps://creativecommons.org/publicdomain/zero/1.0/„Initials” (https://github.com/dicebear/dicebear) by „DiceBear”, licensed under „CC0 1.0” (https://creativecommons.org/publicdomain/zero/1.0/)PH
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565
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1 yr. ago

  • No shit, I once had the chance to accompany a patient to an large aninmal hospital for an MRI.

    The problem: It was so far away that the patient needed to be airlifted. Which was far beyond the capacity of regular HEMS. So they called in the military and they send a fucking CH-53 cargo helicopter. These things are huge and loud. But cool.

    That was one interesting ride. Somewhat embarrassing for the patient (who was not in on weight level due to simply eating too much - patient had a massive and life altering orphan hormonal disease) but patient kept somewhat good spirits and the volunteer fire brigade did a good job blocking the view.

    Nowadays human medicine has improved - you can now simply use an open MRI with specialised gurneys. They usually can take more than 400kg, sometimes 500kg.

  • Thanks mate for the kind words. If you are that far down the spiral again, let us know. Personally I rather read a DM from you than read about your funeral.

    And I get it. Even the fire part. Fire does send a message. We all know that powerful photo of the monk.

    The human who is responsible for half of my fire-PTBS wanted to send auch a message. But it instead fucked people up. Not only myself, back then a 19 year old fresh paramedic graduate. Who now, multiple decades later sees that human in his dreams. Well. Not actually. I see my gloves melting because the flesh I am working on his still so hot. I don't see the actual human.

    There are only a few things I truely fear. I went to conflict regions as a job for ages... But there are few things I dear like fire/burns. Rabbies, some cancers, ALS. But fire still is something else. Because it is more cruel. Unless someone really needs that fix to understand why it's a bad idea I spare you the details.

  • Yunohost is okayish. Some apps sadly are badly maintained and therefore upgraded with more delay than I considered acceptable (but that has improved afaik)and integration into a single "look and feel" is a bit lacking. Nevertheless it's solid in the end.

    If you are willing to pay something Cloudron may be an alternative for you as well - very well maintained product, good support team and rock solid from my experience - and it's a non-US/non-China company. (German to be exact) But it costs money for more than 2 applications. I nevertheless went with them - I don't self host as a hobby, I self-host because I want shit to work. Between job and family I have no time to fiddle around with things and keep everything updated on a short notice. I have project where I can do that, but they are not something my family or myself depend on. (And they integrate nicely with Cloudron as you can add "custom" Apps/use it as a proxy and OpenID Provider)

  • My firefighter days were long ago and short numbered but I am a paramedic.

    Truth to be told: I have PTBS from the smell of burning human meat. I had two cases that cemented that in my brain - both were not people burning to crisp but instead people who were still moving* - but beyond rescue. In that state human meat smells different from other meats and it is... something you don't want to smell ever.

    (*: Even most severely burnt people, with 99% grade 3 burns are awake for quite a while. They are beyond resuce,though. Please people, don't try to kill yourself with fire. And if you do, don't do it in front of people. Really don't. You fuck them up for life)

    I still cannot stand if my wife cleans the oven for example.

  • Actually, the hospital/doctor is NOT what second aid originally is. And first responder aid is also not what first aid is about.

    First aid is what is meant as the actual first aid that can be provided by anyone with minimal training. As the concept came from the military the "first aid" was meant to be applied by fellow soldiers - this is were the (rather surgical trauma oriented average first aid kit got most of it's content of). (Unit-level embedded medics came far later) In a civilan setting nowadays it includes the basic life support provided by non-specialist first responders and depending on the definition it might include BLS ambulances (which are not seen as professionals sometimes)

    Second aid was what a medical professional does - a paramedic, corpsman or doctor and can also include a casualty collection post or similar structures. Definitions here split up a bit - depending on which authors you read second aid (aka the second aid stage) does not include any intrahospital care but does prolonged care scenarios(cases you cannot evacuate to a medical facility for longer times,like 24h+x). Other authors do include basic hospital care or similar facilities that provide some but not all treatment.

    After that tertiary or definitive care takes over - that's when shit definitely gets fixed if it's fixable. That will always include intrahospital care.

    To get back to your question what would be in a second care kit: Things needed for prolonged care usually. I did work in a prolonged care scenario for a while and can give you an overview what we had in our "prolonged care" kits: Urinary catheters (people need to pee even with a broken spine and we need to monitor urine production. And you can fix almost everything with it...you fix holes in hearts with them, can use them as a feeding tube,etc.), more and more permanent pain medication, suturing kits, surgical drainages,lots and lots of desinfectant, more iv fluids, heating solutions both for the patient and the fluids, medication for more permanent care (strong antibiotics, heparin to avoid pulmonary embolism from immobilisation), Military medics often include patient to patient blood transfusions kits, but I worked on the civilian side. These would easily enable one to care for patients for up to 72h hours. (Luckily 36h is the most I had to spend with a critically ill patient).

    Source: Consultant paramedic.

  • As a project manager (well sort of, but did IT projects for a while, have multiple friends in the gaming manager): Yes and no.

    From my point of view: The problem isn't the fact that games are art. While games have their creative side they also require good "brick and mortar work" in the back - as many games as went horribly wrong due to a lack of space for creativity went wrong due to a lack of "less than glamorous" brick and mortar work and overcreativity. (Most drastic example would be the reddit dragon MMO story)

    This is actually a reason why people who are very invested in the subject matter of the project they manage often are horrible project managers - and vice versa people who have no clue can't be good PMs either.

    Project management has one core component: Knowing when to ask whom. A good PM knows that the dev(or dev team lead) will always know better how long "feature X" will take. Of course I can try to learn how to do things... but that wouldn't help much as the exact dev or team will still have their individual speeds. But a good PM also will know when to ask someone else who is nore knowledgeable for advice or to confirm things. (I literally had an Dev trying to tell me a small feature would take two weeks. Fair enough. But interestingly enough two other Devs were fairly sure it takes 30min including documentation. Which sounded way more reasonable. Turned out said Dev always tried to pull these stunts with new PMs and his lead being on vacation)

    A good PM will also know when to give people space for creativity - and defend this room towards the budget.

    Sadly - and this is a problem existing on all sides around PM- in the end it all boils down to a simple thing: Everyone thinks they know better. The PM thinks they know the job of being a Dev(or engineer,etc. etc.) better than the actual people doing the job. And vice versa the Devs think they could do without PMs (they can't for larger projects it's impossible, for mid size projects often really inefficient) or know their job better.

    Such is life.

  • It is, but the problem is less the foundation but more the leading people - as long as they reside in the US they can and will be put under legal (and other) pressure and will at some point comply. (Same issue Proton and to a lesser extend signal have,btw) A regime that imprisons judges and imprisons people without due cause is totalitarian. Period.

    I got grilled on any social media channel I use (including here) for having reservations about free speech oriented foundations being set up in the US. (And in Switzerland for that purpose, btw)

  • Just saying: Her car wrack story has been proven as bogus/phony. But it sounded like a cry for help/attention.

    That doesn't rule out,that someone wanted her death - but neither does it rule out suicide.

    And sadly victims of the unspeakable abuses she endured often suffer for the rest of their lives with mental health issues. Very bad mental health issues. And as someone who has suffered from them right where she lives I can testify that mental health care in WA sucks ass. Even if you are in a much more privileged position than she was - as a healthcare professional I had much better options than most.

    Either way it's a fucking sad story. No matter how you turn it she might have never had a chance. Either to the outside forces or to her inner daemons.

  • In the end it's an education problem:

    The easier solution is training your own doctors - there are numerous studies that it is possible to increase student numbers in medschools if far more government support would be provided. Make medschool cheaper and easier to join, set up corresponding specialist training based on the need of the population and offer huge incentives (up to "free medschool rides") for the ones that sign a contract to work in a bulk billing capacity for X years in a needy region after they finish training. Maybe even attach visa offers to this.

    That takes time,but it is far more helpful and sustainable in the long term.

  • Thankfully I don't have to. Not my apes,not my circus - but living in totalitarian and (various) post totalitarian societies over the last decades (my first protest was still again the Iron curtain) and decades of activism I am fairly sad for anyone in the US but feeling also relieved that this shitshow is reasonably far away.

  • And you fundamentally misunderstand how post- totalitarian societies work. It's not about data availability but will to pursue these things. Which to some degree can be necessary to avoid final decomposition of civil cohesion.

    Besides: Crowd sourced data collection is rarely viable as judical evidence. Very rarely. And then it becomes either a witchhunt or a nice to know thing but nothing more.

  • We have meticulously kept personal records for the majority of all SS,SD,Gestapo and for a fair share of Wehrmacht soldiers. And due to the way German records work (mamdatory resident recording offices) and the fact that almost everyone was "involved" (almost all men were either with the SS, the Wehrmacht or other organs or belonged to the small number of people in jobs though important enough to be needes on the home front)the chances for people to actually evade were rather slim. Claiming you were not "not doing anything" wasn't feasible and claiming you were with a unit that was "not doing anything wrong" was rather hard as well and could easily be disproved when none from that unit knows one. (Not to mention the SS tattoo)

    The issue never were the few guys that made it to South America. The issue was never that people did not know who was a member of the SS or the Gestapo. The issue was that none fucking cared. The US couldn't care less as long people were staunch anticommunist or helped them otherwise,the UK were a bit more involved but mainly wanted to get their own economy back up so the empire didn't fall in shambles. The French did have a bit more vigor,but not for long. And the Germans just wanted to "leave shit behind them".

    And unlike the US we are talking here about a post -facism occupation period. This won't happen. It will be, if the US will be able to overcome it within the lifetime of the current perpetrators(which, given the technology advances in mass suppression is not necessarily a given) a democratic revolution more like what happened in Spain or Chile. Look how it went there.

    And... unlike paper which is harder to get rid off than people think, data can be deleted within short notice. Just as the last Trump administration did.

  • So you literally linked to the Starts and Stripes, a newspaper by the DOD, and the Asia times which claims for itself to report on Asia "from a US perspective" and claim you found more information there while the first article is not even reporting on the cases mentioned in the original source.

    Yeah. Sure.